Mrs Yeon Soo Lee, LCSW is a medicare enrolled "Student In An Organized Health Care Education/training Program" provider in Bakersfield, California. Her current practice location is
3300 Truxtun Ave Ste 300, Bakersfield, California. You can reach out to her office (for appointments etc.) via phone at
(661) 868-6956.
Mrs Yeon Soo Lee is licensed to practice in * (Not Available) (license number ) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1942362785.
Healthcare Provider's Profile
| Full Name | Mrs Yeon Soo Lee |
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| Gender | Female |
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| Speciality | Student In An Organized Health Care Education/training Program |
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| Location | 3300 Truxtun Ave Ste 300, Bakersfield, California |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
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NPI Data:
- NPI Number: 1942362785
- Provider Enumeration Date: 12/15/2006
- Last Update Date: 01/03/2022
Medicare PECOS Information:
- PECOS PAC ID: 2163506999
- Enrollment ID: I20080303000570
Medical Identifiers
Medical identifiers for Mrs Yeon Soo Lee such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1942362785 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 101Y00000X | Counselor | (* (Not Available)) | Secondary |
| 390200000X | Student In An Organized Health Care Education/training Program | (* (Not Available)) | Primary |
Medicare Reassignments
Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Mrs Yeon Soo Lee allows following entities to bill medicare on her behalf.
| Entity Name | Permanente Medical Group Inc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1073606299
PECOS PAC ID: 8921910225
Enrollment ID: O20031104000710 |
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Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Mrs Yeon Soo Lee is
enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
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Mrs Yeon Soo Lee, LCSW
Po Box 1000,
Bakersfield, CA 93302-1000
Ph: (661) 868-6956 | Mrs Yeon Soo Lee, LCSW
3300 Truxtun Ave Ste 300,
Bakersfield, CA 93301-3145
Ph: (661) 868-6956 |
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